DC Town Clerk Associations
DATE VENDOR'S QUANTITY DESCRIPTION OF MATERIALS OR SERVICES UNIT PRICE AMOUNT
INVOICE NO.
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(SEE INSTRUCTIONS ON REVERSE SIDE) TOTAL J\--?~
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Is true and correct; hat the Iteme, services and disbursements charged were rendered to or for the municipality on the dates stated; that n,
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actually due.
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DATE
..
VOUCHER
D. C. TOWN,CLERK ASSOCIATION
249 Duncan Road
LaGrangevllle, NY 12540
Phone (845)724-5600
Fax ( 84 5 ) 7 24 - 3 7 5 7
DEPARTMENT
)
(~
r
CLAIMANT'S
NAME
AND
ADDRESS
~
L
DETAILEb INVOICES MAY BE ATTACHED, AND TOTAL ENTERED ON THIS VOUCHER.
CERTIFICATION BELOW MUST BE SIGNED.
\1-\ \0"' '-\ 05 ~
(CLAIMAm . DO NOT VOUCHER
WRITE IN THIS AREA) NUMBER
DATE VOUCHER RECEIVED =
FUND. APPROPRIATION AMOUNT
TOTAL
ENTERED ON ABSTRACT NO.
TERMS
PURCHASE
ORDER NO.
CLAIMANT'S CERTIFICATION
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TITLE
DEPARTMENT APPROVAL
The above services or materials were rendered -or
furnished to the municipality on the dates stated I;Ind
the charges are correct.
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, \ DAfrE
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AUTHORIZED OFFICIAL
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APPROVALFORPAVMENT
This claim Is approved and ordered paid from the
appropriations Indicated above
DATE
AUDITING BOARD
March 3, 2009
Annual dues for the Dutchess County Town Clerks Association for the year
2009 are due.
Dues are $25.00 for Town Clerks and Deputy Town Clerks and retired Town
Clerk dues are $10.00. A voucher is enclosed for your convenience.
Please make checkspayableto theD. C. Town Clerk Association and send
to:
D. C. Town Clerks Assoc.
%Mary LouDeF orest, Treasurer
249 Duncan Road
LaGrangeville N. Y. 12540
Thank you.
7?Jf#!--
Mary Lou DeForest